Foreword xi
Preface to st edition xii
Preface to nd edition xiv
About the author xv
Acknowledgements xvi
Selected useful resources xvii
The focused consultation
Focused clinical assessment
Useful consultation tools
Redflags in general practice
Undifferentiated and miscellaneous presentations
Suspected cancer
Weight loss
Tiredness
Dizziness
Chronic pain
Sudden collapse and syncope
Frequent attenders
Medication review and polypharmacy
Medically unexplained symptoms
Insomnia
Irritability and 'stress'
Domestic violence
Homelessness
Paediatrics and adolescent health
The sick and/or feverish child
Suspected meningococcal meningitis and septicaemia
Neonatal jaundice
Faltering growth
Headache and migraine in children
Head injury in children
Suspected cancer in children and adolescents
Abdominal pain in children
Hearing loss in children
Childhood cough
Childhood wheeze
Constipation in children
Childhood obesity
Suspected child abuse and neglect
Nocturnal enuresis
Knee problems in children
Hip problems in children
Adolescent health problems
Self-harm in teenagers
Eating disorders.
Autism-spectrum disorder
Cardiovascular
Chest pain
Palpitations
Cardiovascular risk assessment
Hypertension
Atrial fibrillation
Heart failure
Peripheral vascular disease
Respiratory
Shortness of breath
Haemoptysis
Suspected lung cancer
Asthma
Chronic obstructive pulmonary disease
Suspected pneumonia
Pleural effusion
Pulmonary embolism
Endocrine and metabolic
Diabetes review
Obesity
Hirsutism in women
Hypothyroidism
Hyperthyroidism
Hyponatraemia
Hypernatraemia
Hypokalaemia
Hyperkalaemia
Hypocalcaemia
Hypercalcaemia
Gastrointestinal
Nausea and vomiting
Dysphagia
Dyspepsia and reflux
Upper gastrointestinal bleeding and melaena
Abdominal pain
Constipation
Diarrhoea
Rectal bleeding and suspected bowel cancer
Abnormal liver function tests
Irritable bowel syndrome
Inflammatory bowel disease
Coeliac disease
Infectious diseases
Fever of unknown origin
Fever and illness in the returning traveller
HIV infection and AIDS
Tuberculosis
Rheumatic fever
Haematology
Iron-deficiency anaemia
Macrocytic anaemia (B and folate deficiency)
Bleeding disorders
Myeloma
Musculoskeletal
Soft-tissue injury
Acute hot and swollen joint
Chronic musculoskeletal pain
Polyarthralgia
Neck pain
Back pain
Shoulder and arm problems
Elbow problems
Hand problems
Hip pain
Groin problems
Leg pain and/or swelling
Knee pain
Foot and ankle problems
Gout
Osteoporosis
Neurology
Headache
Transient ischaemic attack and stroke
Head injury in adults
Suspected or confirmed brain tumour
Tremor
Motor neurone disease.
Peripheral neuropathy
Multiple sclerosis
Gynaecology
Combined oral contraception
Menorrhagia
Amenorrhoea
Breast lumps
Loss of libido
Polycystic ovary syndrome
Suspected ovarian cancer
Obstetrics
Routine antenatal care
Bleeding in early pregnancy
Abdominal pain in pregnancy
Pre-eclampsia
Urology and renal medicine
Suspected urinary tract infection in women
Lower urinary tract symptoms in men
Urinary incontinence
Urethral discharge in men
Scrotal and testicular problems
Erectile dysfunction
Renal or ureteric colic (kidney stones)
Haematuria
Chronic kidney disease
Mental health
Depression
Self-harm and harm to others
Anxiety phobias and panic disorder
Alcohol screening
Alcohol dependence
Illicit drug misuse
Obsessive-compulsive disorder
Mania
Schizophrenia
Skin
Moles and malignant melanoma
Pressure ulcers
Ophthalmology
Eye injuries
The acute red eye
Gradual painless visual disturbance
Sudden painless visual disturbance
Eye problems in older people
Ear nose and throat
Neck swelling
Sore throat
Ear pain
Hearing loss in adults
Tinnitus
Sinusitis and facial pain
Problems in older people
General health assessment in older people
Cognitive problems and dementia
Falls in older people
Delirium and acute confusional st

临床评估是医学的核心。繁忙的临床医生和护士常常需要在有限的时间内对患者进行临床评估。本书向读者讲授如何有效、准确、安全地收集临床信息。作者采用针对性方法，为临床医生提供评估策略。
介绍每种疾病时体例一致，具体包括：
病史的主要特征；
患者常见的想法、关注点和期望；
对明确诊断和预后有帮助的症状或表现；
应该进行的检查及原因；
重要的鉴别诊断及临床特征；
对患者评估有帮助的建议、技巧和提示。